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1376713693
WYNTON WALLERS
LOS ANGELES, CA
NPI
1376713693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-03
Last Update Date
2008-03-03
Business Address
-- WYNTON WALLERS
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111
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Mailing Address
-- WYNTON WALLERS
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111
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